Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAFCILLIN INJ 2GM

Facility

$247.70

Hospital Charge Code	6003842
Hospital Revenue Code	250
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$123.85
Rate for Payer: Aetna Commercial	$74.31
Rate for Payer: Aetna Medicare Advantage	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.16
Rate for Payer: Cigna Commercial	$123.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.20
Rate for Payer: Oxford Commercial	$123.85
Rate for Payer: Qualcare PPO/HMO/WC	$37.16
Rate for Payer: UnitedHealthcare Commercial	$123.85

NAFCILLIN INJ 2GM

Facility

$247.70

Hospital Charge Code	6003842
Hospital Revenue Code	250
Min. Negotiated Rate	$37.16
Max. Negotiated Rate	$37.16
Rate for Payer: Qualcare PPO/HMO/WC	$37.16

NAFCILLIN IVPB 2GM/NS 100ML

Facility

$28.80

Hospital Charge Code	60627302
Hospital Revenue Code	250
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$4.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.32

NAFCILLIN IVPB 2GM/NS 100ML

Facility

$28.80

Hospital Charge Code	60627302
Hospital Revenue Code	250
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$8.64
Rate for Payer: Aetna Medicare Advantage	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.34
Rate for Payer: Cigna Commercial	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.74
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.32
Rate for Payer: UnitedHealthcare Commercial	$14.40

NAFCILLIN IVPB ODD DOSE >1GM

Facility

$28.80

Hospital Charge Code	60627304
Hospital Revenue Code	250
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$4.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.32

NAFCILLIN IVPB ODD DOSE >1GM

Facility

$28.80

Hospital Charge Code	60627304
Hospital Revenue Code	250
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$8.64
Rate for Payer: Aetna Medicare Advantage	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.34
Rate for Payer: Cigna Commercial	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.74
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.32
Rate for Payer: UnitedHealthcare Commercial	$14.40

NAFCILLIN SODIUM/10GM

Facility

$258.00

Hospital Charge Code	60633488
Hospital Revenue Code	250
Min. Negotiated Rate	$33.54
Max. Negotiated Rate	$129.00
Rate for Payer: Aetna Commercial	$77.40
Rate for Payer: Aetna Medicare Advantage	$77.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.79
Rate for Payer: Cigna Commercial	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.54
Rate for Payer: Oxford Commercial	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.70
Rate for Payer: UnitedHealthcare Commercial	$129.00

NAFCILLIN SODIUM/10GM

Facility

$258.00

Hospital Charge Code	60633488
Hospital Revenue Code	250
Min. Negotiated Rate	$38.70
Max. Negotiated Rate	$38.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.70

NAFCILLIN SODIUM/500MG

Facility

$13.00

Hospital Charge Code	60633487
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

NAFCILLIN SODIUM/500MG

Facility

$13.00

Hospital Charge Code	60633487
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

NAI FEM IM 11mDia40cm225740011

Facility

$5,562.95

Hospital Charge Code	270636138
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$2,781.47
Rate for Payer: Aetna Commercial	$1,668.88
Rate for Payer: Aetna Medicare Advantage	$1,668.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.55
Rate for Payer: Cigna Commercial	$2,781.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NAI FEM IM 11mDia40cm225740011

Facility

$5,562.95

Hospital Charge Code	270636138
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$1,346.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NAI FEM IM 12m 36c LT225736002

Facility

$5,832.05

Hospital Charge Code	270639365
Hospital Revenue Code	278
Min. Negotiated Rate	$874.81
Max. Negotiated Rate	$2,916.03
Rate for Payer: Aetna Commercial	$1,749.62
Rate for Payer: Aetna Medicare Advantage	$1,749.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,487.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,487.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,166.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,487.17
Rate for Payer: Cigna Commercial	$2,916.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,411.36
Rate for Payer: Qualcare PPO/HMO/WC	$874.81

NAI FEM IM 12m 36c LT225736002

Facility

$5,832.05

Hospital Charge Code	270639365
Hospital Revenue Code	278
Min. Negotiated Rate	$874.81
Max. Negotiated Rate	$1,411.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,166.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,411.36
Rate for Payer: Qualcare PPO/HMO/WC	$874.81

NAI FEM IM13mD36cmLFT225736003

Facility

$5,607.75

Hospital Charge Code	270637324
Hospital Revenue Code	278
Min. Negotiated Rate	$841.16
Max. Negotiated Rate	$1,357.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,121.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,357.08
Rate for Payer: Qualcare PPO/HMO/WC	$841.16

NAI FEM IM13mD36cmLFT225736003

Facility

$5,607.75

Hospital Charge Code	270637324
Hospital Revenue Code	278
Min. Negotiated Rate	$841.16
Max. Negotiated Rate	$2,803.88
Rate for Payer: Aetna Commercial	$1,682.33
Rate for Payer: Aetna Medicare Advantage	$1,682.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,429.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,429.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,429.98
Rate for Payer: Cigna Commercial	$2,803.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,357.08
Rate for Payer: Qualcare PPO/HMO/WC	$841.16

NAI HUM 9 Ti CAN 150 04001410S

Facility

$7,965.00

Hospital Charge Code	270637801
Hospital Revenue Code	278
Min. Negotiated Rate	$1,194.75
Max. Negotiated Rate	$3,982.50
Rate for Payer: Aetna Commercial	$2,389.50
Rate for Payer: Aetna Medicare Advantage	$2,389.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,031.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,031.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,593.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,031.08
Rate for Payer: Cigna Commercial	$3,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,194.75

NAI HUM 9 Ti CAN 150 04001410S

Facility

$7,965.00

Hospital Charge Code	270637801
Hospital Revenue Code	278
Min. Negotiated Rate	$1,194.75
Max. Negotiated Rate	$1,927.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,593.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,927.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,194.75

NAIL 10.5X90MM

Facility

$2,750.00

Hospital Charge Code	270702477
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

NAIL 10.5X90MM

Facility

$2,750.00

Hospital Charge Code	270702477
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

NAIL 11x130x320 FIXREC 456413S

Facility

$6,477.85

Hospital Charge Code	270633463
Hospital Revenue Code	278
Min. Negotiated Rate	$971.68
Max. Negotiated Rate	$3,238.93
Rate for Payer: Aetna Commercial	$1,943.36
Rate for Payer: Aetna Medicare Advantage	$1,943.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.85
Rate for Payer: Cigna Commercial	$3,238.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.64
Rate for Payer: Qualcare PPO/HMO/WC	$971.68

NAIL 11x130x320 FIXREC 456413S

Facility

$6,477.85

Hospital Charge Code	270633463
Hospital Revenue Code	278
Min. Negotiated Rate	$971.68
Max. Negotiated Rate	$1,567.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.64
Rate for Payer: Qualcare PPO/HMO/WC	$971.68

NAIL 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705777
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

NAIL 5.5X20MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705777
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

NAIL ANKLE 11MMDX15CML 34514

Facility

$8,790.00

Hospital Charge Code	270638406
Hospital Revenue Code	278
Min. Negotiated Rate	$1,318.50
Max. Negotiated Rate	$2,127.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,758.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,127.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,318.50

Know your out-of-pocket cost for care.

All Charges